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REDWOOD PLACE LIVING CENTER
NPI 1912092602
Intermediate Care Facility, Intellectual Disabilities in Wetumka, OK

Active since October 04, 2006CLIA 37D1035874 · Waiver
623 S ALABAMA ST, WETUMKA, OK 74883(405) 452-3271(405) 452-5154 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Redwood Place Living Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REDWOOD PLACE LIVING CENTER (NPI 1912092602), doing business as Adkins, Lp Dba Redwood Place, is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Wetumka, Oklahoma and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through January 12, 2027 and lists Donna R Simmons, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1912092602
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameREDWOOD PLACE LIVING CENTER
Location Address623 S ALABAMA STWetumka, OK 74883-6034
Mailing AddressPo Box 488Weleetka, OK 74880-0488 · (405) 786-2266 · Fax (405) 786-2388
Phone(405) 452-3271
Fax(405) 452-5154
Organization SubpartNo
Authorized OfficialDonna R SimmonsOffice Manager · (405) 786-2266
Enumeration DateOctober 4, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1912092602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in OK · NH3211-3211
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
623 S ALABAMA ST, Wetumka, OK 74883
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Other Names 1

Former Legal Business NameAdkins, Lp Dba Redwood Place

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D1035874

Redwood Place Living Center, LLC · Wetumka, OK
Active · expires Jan 12, 2027
CLIA Number37D1035874
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateJanuary 13, 2025
Certificate Expiration DateJanuary 12, 2027
Laboratory DirectorCrystal S. Freeman
Laboratory Phone(405) 452-5550
Laboratory LocationRedwood Place Living Center, LLC623 S Alabama, Wetumka, OK 74883
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PIONEER LIVING CENTER OPS LLC
Intermediate Care Facility, Intellectual Disabilities
623 S ALABAMA ST
WETUMKA, OK 74883
Hughes County (405) 452-3271

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Redwood Place Living Center's NPI number?

The NPI number for Redwood Place Living Center is 1912092602. It was assigned to this organization in the NPPES registry on October 4, 2006. The provider was formerly known as Adkins, LP Dba Redwood Place.

Where is Redwood Place Living Center located?

Redwood Place Living Center is located at 623 S Alabama St, Wetumka, OK 74883. The listed phone number is (405) 452-3271.

What is Redwood Place Living Center's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Redwood Place Living Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D1035874) is associated with this NPI, valid through January 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Redwood Place Living Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.